Assessment of a high-fidelity, virtual reality-based, manual small-incision cataract surgery simulator

Nair, Akshay Gopinathan; Ahiwalay, Chetan; Bacchav, Ashish; Sheth, Tejas; Lansingh, Van Charles

doi:10.4103/ijo.ijo_1593_22

Cited by 7 publications

(2 citation statements)

References 29 publications

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“…[ 20 ] In India, Nair et al . [ 21 , 22 ] reported that novice surgeons trained on the HelpMeSee simulator for MSICS performed fewer errors in their first 20 attempts in live surgery compared with trainees who underwent standard training as per their institutional protocols without simulators. In many training programs in the United Kingdom, training on an ophthalmic surgical simulator is mandatory for third-year ophthalmology residents before live cataract surgery.…”

Section: Discussionmentioning

confidence: 99%

Cataract surgical training among residents in India: Results from a survey

Nair

Mishra

Prabu³

2023

Indian Journal of Ophthalmology

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Purpose: To assess the quantum of cataract surgical training opportunities for trainees enrolled in ophthalmology residency programs in India. Methods: An anonymous online survey was sent across to resident ophthalmologists across India through various social media platforms. The results were tabulated and analyzed. Results: A total of 740 resident ophthalmologists participated in the survey. In all, 40.1% (297/740) were independently performing cataract surgeries. Of those who were not performing independent cataract surgeries, 62.5% (277/443) were in the third year of residency. A significantly higher proportion of trainees who were not operating independent cataract surgeries were enrolled in MD/MS programs as compared with DNB courses (65.6% vs. 43.7%; P < 0.0001). Of those who were operating independent cases; 97.1% had exposure to manual small incision cataract surgery (MSICS), whereas only 14.1% performed phacoemulsification. It was noted that 31.3% of residents reported that on an average a trainee in their training program performed less than 100 independent cataract surgeries throughout the residency. Apart from cataract surgery, the most performed surgeries by residents were pterygium excision (85.3%), followed by enucleation/evisceration (68.1%). When it came to training aids, 47.2% (349/740) of the respondents reported no access to wet lab, animal/cadaver eyes, or surgical simulators for training. Conclusion: The amount of surgical exposure in terms of cataract surgery across residency programs in India is low with most of the ophthalmology residents who participated in this survey not operating cataracts independently; even in their final year of residency. Exposure to phacoemulsification in residency programs is very limited across the country. Although some programs do provide well-rounded surgical exposure to trainees, such centers are scarce; the stark variations in infrastructure, training opportunities, and surgical numbers warrant an overhaul in the structure and curriculum of residency programs in India.

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Section: Discussionmentioning

confidence: 99%

Cataract surgical training among residents in India: Results from a survey

Nair

Mishra

Prabu³

2023

Indian Journal of Ophthalmology

Self Cite

View full text Add to dashboard Cite

show abstract

“…In the current study,[ 10 ] the authors have established the face and content validity of the HelpMeSee Eye Surgery Simulator, a virtual reality-based cataract surgery simulator for MSICS, and the authors must be congratulated for this interesting analysis. A total of 35 expert surgeons participated in the study, which is an excellent number to validate the model.…”

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confidence: 99%